MS. Theresa Lee Raymond, PA-C

NPI #1518954635 in New York, New York

Provider Information

NPI Number: 1518954635
Entity Type: Individual
Name: MS. Theresa Lee Raymond, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 4, 2005
Last Updated: Jul 12, 2010

Practice Location

Address: 5 HARRISON ST
Address 2: KAHN DERMATOLOGY
City: New York
State: New York
ZIP Code: 10013
Phone: (212) 619-0666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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